TY - JOUR
T1 - Case report
T2 - Rocky mountain spotted fever and pregnancy: Four cases from Sonora, Mexico
AU - Licona-Enriquez, Jesus David
AU - Delgado-De La Mora, Jesus
AU - Paddock, Christopher D.
AU - Ramirez-Rodriguez, Carlos Arturo
AU - Del Carmen Candia-Plata, María
AU - Hernández, Gerardo Álvarez
N1 - Publisher Copyright:
© Copyright 2017 by The American Society of Tropical Medicine and Hygiene.
PY - 2017
Y1 - 2017
N2 - We present a series of four pregnant women with Rocky Mountain spotted fever (RMSF) that occurred in Sonora, Mexico, during 2015-2016. Confirmatory diagnoses were made by polymerase chain reaction or serological reactivity to antigens of Rickettsia rickettsii by using an indirect immunofluorescence antibody assay. Each patient presented with fever and petechial rash and was treated successfully with doxycycline. Each of the women and one full-term infant delivered at 36 weeks gestation survived the infection. Three of the patients in their first trimester of pregnancy suffered spontaneous abortions. RMSF should be suspected in any pregnant woman presenting with fever, malaise and rash in regions where R. rickettsii is endemic.
AB - We present a series of four pregnant women with Rocky Mountain spotted fever (RMSF) that occurred in Sonora, Mexico, during 2015-2016. Confirmatory diagnoses were made by polymerase chain reaction or serological reactivity to antigens of Rickettsia rickettsii by using an indirect immunofluorescence antibody assay. Each patient presented with fever and petechial rash and was treated successfully with doxycycline. Each of the women and one full-term infant delivered at 36 weeks gestation survived the infection. Three of the patients in their first trimester of pregnancy suffered spontaneous abortions. RMSF should be suspected in any pregnant woman presenting with fever, malaise and rash in regions where R. rickettsii is endemic.
UR - http://www.scopus.com/inward/record.url?scp=85028958552&partnerID=8YFLogxK
U2 - 10.4269/ajtmh.16-0917
DO - 10.4269/ajtmh.16-0917
M3 - Artículo
SN - 0002-9637
VL - 97
SP - 795
EP - 798
JO - American Journal of Tropical Medicine and Hygiene
JF - American Journal of Tropical Medicine and Hygiene
IS - 3
ER -